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Pt. Access is a Program’s Best Marketing Tool Long wait-times. High demand characteristic access systems, and a generalized acceptance of the term “hard to place clients” have become the status quo in public behavioral health. Long wait-times. High demand characteristic access systems, and a generalized acceptance of the term “hard to place clients” have become the status quo in public behavioral health. Immediate access to services is such an anomaly, optimizing access and promoting it will be your agencies’ best social marketing strategy. Immediate access to services is such an anomaly, optimizing access and promoting it will be your agencies’ best social marketing strategy.

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Key Activities Analyze relevance of current services and what gaps exist. Pt. Need, Payor Need. Analyze relevance of current services and what gaps exist. Pt. Need, Payor Need. Analyze community demand for service. Volumes. Analyze community demand for service. Volumes. Analyze Payer Mix for new and existing services. Analyze Payer Mix for new and existing services. Complete draft of “Mission Fit” and “Business Case.” Complete draft of “Mission Fit” and “Business Case.” Present business plan to Hospital Administration/Board. Present business plan to Hospital Administration/Board.

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Demand Analysis-Mission Fit ARC took a 4 month snap shot to trend volumes of clients seeking treatment for opiate dependence. ARC took a 4 month snap shot to trend volumes of clients seeking treatment for opiate dependence. On average 15-20 callers per month request Suboxone assisted treatment. On average 15-20 callers per month request Suboxone assisted treatment. Of 15 assessments Dx. with opioid dependence in Jan. and Feb. 2007 Of 15 assessments Dx. with opioid dependence in Jan. and Feb. 2007 Five have admitted to treatment programs and are involved in MAT. Five have admitted to treatment programs and are involved in MAT. Those not admitted did not access MAT Those not admitted did not access MAT Anticipated volume of new ARC clients per year is 100- 150 clients Anticipated volume of new ARC clients per year is 100- 150 clients

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Community Response-Business Case The 115 patients treated by other programs equate to the current volume of ARC Intensive Outpatient Programs (IOP). The 115 patients treated by other programs equate to the current volume of ARC Intensive Outpatient Programs (IOP). Absorbing this volume equates to an additional 2,300 IOP treatment days per year for ARC. Absorbing this volume equates to an additional 2,300 IOP treatment days per year for ARC. The funding mix from this population is: The funding mix from this population is: 34% private insurance 28% Medicaid 17% Medicare 16% Unfunded

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Payer Priorities Cigna endorses Medication Assisted Treatment. Cigna endorses Medication Assisted Treatment. Anthem puts out report on improved outcomes with MAT. Anthem puts out report on improved outcomes with MAT. Cigna is largest payer in our service area. Bath Iron Works. “The Shipyard”. Cigna is largest payer in our service area. Bath Iron Works. “The Shipyard”. Anthem is largest 3’rd party payer in Maine. Anthem is largest 3’rd party payer in Maine. Ambulatory detox is cheaper than IP. Ambulatory detox is cheaper than IP. 2011- ARC awarded Gold Card Status by Anthem for IOP and PHP based upon low re-admission rates and lengths of stay. Auto auth. initial 14 days of IOP and PHP as a result. 2011- ARC awarded Gold Card Status by Anthem for IOP and PHP based upon low re-admission rates and lengths of stay. Auto auth. initial 14 days of IOP and PHP as a result.

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Capacity Planning 20% attrition rate is factored for each change in level of care. Induction to Med. Management, during IOP treatment, and from IOP to Aftercare. 20% attrition rate is factored for each change in level of care. Induction to Med. Management, during IOP treatment, and from IOP to Aftercare. Based on national models for suboxone assisted treatment and three years experience at other Maine Hospital-Based programs. Based on national models for suboxone assisted treatment and three years experience at other Maine Hospital-Based programs. Capacity exists for 832 Med. Management visits in first 18 months. Capacity exists for 832 Med. Management visits in first 18 months. Based upon the data above, we expect to complete 532 Med. Management visits in first 18 months. Based upon the data above, we expect to complete 532 Med. Management visits in first 18 months. This 300 patient buffer exists to assure optimal pt. care and to avoid overwhelming resources. This 300 patient buffer exists to assure optimal pt. care and to avoid overwhelming resources.

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Business Case MAT Groups Increase induction access through use of MAT management groups Increase induction access through use of MAT management groups

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Pt. Flow Analysis: Business Case for MAT Groups Used PDCA cycles to pilot one group for 8 wks. Used PDCA cycles to pilot one group for 8 wks. Better use of multidisciplinary team approach Better use of multidisciplinary team approach Consistent application of standard of care Consistent application of standard of care Replicate intervention with two 1.5 hour groups per week. Replicate intervention with two 1.5 hour groups per week. 2 groups per week takes 12 hours per month vs. 26.5 hours per month for MD to see same case load individually. 2 groups per week takes 12 hours per month vs. 26.5 hours per month for MD to see same case load individually. 2 groups per week absorbs 112 encounters per month. 2 groups per week absorbs 112 encounters per month. Increase monthly average from 8 to 16 inductions. Increase monthly average from 8 to 16 inductions. Increase monthly average from 2 to 7 psychiatric evaluations. Increase monthly average from 2 to 7 psychiatric evaluations. Will result in increase revenues in the amount of $41,000.00 per year-NET. Will result in increase revenues in the amount of $41,000.00 per year-NET.

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Business Case-Room to Breathe Greater self-reliance during times of social service cuts and legislative unpredictability. Greater self-reliance during times of social service cuts and legislative unpredictability. In spite of flat funding, ARC has reduced the percentage it is underwritten by state dollars from 60% in SFY 06 to 42% in SFY 09. In spite of flat funding, ARC has reduced the percentage it is underwritten by state dollars from 60% in SFY 06 to 42% in SFY 09. Increased volumes, retention and diverse payer mix has dropped our cost 30% Increased volumes, retention and diverse payer mix has dropped our cost 30%

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Marketing Through Leadership: Community and Professional Education Provided NIDA/CTN endorsed training curricula to 125 participants in Maine since 2009. ( Rockland, Machias, Portland, Lewiston) 8 hour training sponsored by ATTC, Brown University and CCSME. Provided NIDA/CTN endorsed training curricula to 125 participants in Maine since 2009. ( Rockland, Machias, Portland, Lewiston) 8 hour training sponsored by ATTC, Brown University and CCSME. Published Guide for the Implementation of Medication Assisted Treatment. 2011 University of Wisconsin–Madison, Center for Health Enhancement System Studies. Published Guide for the Implementation of Medication Assisted Treatment. 2011 University of Wisconsin–Madison, Center for Health Enhancement System Studies.

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Marketing Through Leadership: Community and Professional Education Provided training for USM school of Nursing students. 2009, 2010, 2011 Provided training for USM school of Nursing students. 2009, 2010, 2011 Working actively with Maine DOC to examine barriers to inmates’ access to FDA approved medications for withdrawal and craving. Working actively with Maine DOC to examine barriers to inmates’ access to FDA approved medications for withdrawal and craving. CIT training annually. 40 hrs. training to local law enforcement. CIT training annually. 40 hrs. training to local law enforcement.